Individual
MICHELE MECONI-PACKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9600 VETERANS DR SW, TACOMA, WA 98493-0003
(253) 582-8440
(253) 589-4150
Mailing address
5310 27TH AVE SE, LACEY, WA 98503-3788
(360) 491-6966
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30005264
WA
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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